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1730750050
NICHOLE INESS
SALEM, OR
NPI
1730750050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-20-344)
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
NICHOLE INESS
465 COMMERCIAL ST NE # 150
SALEM, OR 97301-3414
Phone number: 503-362-2780
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Mailing Address
NICHOLE INESS
PO BOX 20674
KEIZER, OR 97307-0674
Phone number:
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